Provider Demographics
NPI:1982649000
Name:HALADAY, ROBERT GERARD (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:GERARD
Last Name:HALADAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 W STRUB RD
Mailing Address - Street 2:BLDG 1, SUITE B
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-5390
Mailing Address - Country:US
Mailing Address - Phone:567-998-3900
Mailing Address - Fax:567-998-3899
Practice Address - Street 1:2500 W STRUB RD
Practice Address - Street 2:BLDG 1, SUITE B
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-5390
Practice Address - Country:US
Practice Address - Phone:567-998-3900
Practice Address - Fax:567-998-3899
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35087861207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H93766Medicare UPIN
OHHA4185511Medicare PIN